PAUL HALDERSON
NPI 1649671710
Physician Assistant in Kingman, KS

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
750 W D AVE, KINGMAN, KS 67068(620) 532-3147(620) 532-0167 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2022, Dec 28, 2020, Dec 23, 2020 (3 updates tracked since 2020).

About Paul Halderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL HALDERSON (NPI 1649671710) is an individual physician assistant in Kingman, Kansas, licensed in Kansas (15-01738) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and maintains a secondary practice location in Cunningham.

NPPES Registry Identity

NPI1649671710
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL HALDERSON
Location Address750 W D AVEKingman, KS 67068-1266
Mailing Address750 W D AveKingman, KS 67068-1266 · (620) 532-3147 · Fax (620) 532-0167
Fax(620) 532-0167
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2014
Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1649671710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KS · 15-01738
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

750 W D AVE, Kingman, KS 67068

Secondary Practice Location 1

Location 1112 N Main StCunningham, KS 67035-8802 · Phone (620) 298-2397 · Fax (855) 290-4906

Other Identifiers 1

Medicaid30003916630001KS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul Halderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42431926
PECOS Enrollment IDI20141017000343
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Southwest Medical Center

Acute Care Hospitals · Liberal, KS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170068
Location315 West 15th StreetLiberal, KS 67901 · Seward County
Emergency services Birthing friendly

Centura St. Catherine-Dodge City

Acute Care Hospitals · Dodge City, KS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number170175
Location3001 Avenue ADodge City, KS 67801 · Ford County
Emergency services Birthing friendly

Stafford County Hospital

Critical Access Hospitals · Stafford, KS
OwnershipGovernment - Local
CMS Certification Number171323
Location502 S BuckeyeStafford, KS 67578 · Stafford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
54%309 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$11.96 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
1 supplier11 claims11 services$1.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$118.04 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
750 W D AVE
KINGMAN, KS 67068
Physician Assistant
750 W D AVE
KINGMAN, KS 67068
Nurse Practitioner
750 W D AVE
KINGMAN, KS 67068
Podiatrist
750 W D AVE
KINGMAN, KS 67068
Audiologist
750 W D AVE
KINGMAN, KS 67068
Podiatrist (Primary Podiatric Medicine)
750 W D AVE
KINGMAN, KS 67068
Dietitian, Registered
750 W D AVE
KINGMAN, KS 67068
Clinic/Center (Radiology, Mobile)
750 W D AVE
KINGMAN, KS 67068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Halderson's NPI number?

The NPI number for Paul Halderson is 1649671710. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Paul Halderson located?

Paul Halderson practices at 750 W D Ave, Kingman, KS 67068. The listed phone number is (620) 532-3147.

What is Paul Halderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Halderson enrolled in Medicare?

Yes. Paul Halderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Halderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Paul Halderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Halderson affiliated with any hospitals?

According to CMS data, Paul Halderson is affiliated with Centura St. Catherine Hospital-Garden City, Pratt Regional Medical Center, Southwest Medical Center, Centura St. Catherine-Dodge City and Stafford County Hospital.

When was this NPI record last updated?

The NPPES record for Paul Halderson was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.